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2018 Application Instructions - Smiles 4 Canada

Page 1 of 4 Thank you for your interest in Smiles4 Canada . This program is designed to facilitate the orthodontic treatment ofdeserving, low-income young Canadians. Please be advised of the following:1. Completion of this Application package does not guarantee acceptance for treatment through the program. Theapplication will be evaluated by a Regional Committee, and you will be informed whether the applicant has beenaccepted into the To qualify for the program, the combined family income after tax in the two most recent taxation years must bebelow the Federal Low Income Cut-Offs.

2018 APPLICATION INSTRUCTIONS Page 2of 4 Details of Information to be Included in the 2018 Application The application includes the following information: • Patient Information Form: Please provide us with your child’s name, date of …

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